Organization
RIVER VALLEY HEALTH
Active
Organization
RIVER VALLEY HEALTH
Active
Other names
River Valley Health & Dental Center, Susquehanna Community Health and Dental Clinic, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MAX HOUSEKNECHT JR. (CFO)
(570) 567-5418
Entity
Organization
Contact information
Practice address
124 E WALNUT ST STE 2, LOCK HAVEN, PA 17745-3522
(570) 567-5422
Mailing address
471 HEPBURN ST, WILLIAMSPORT, PA 17701-6122
(570) 567-5436
(570) 601-4353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
09/24/2024
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